Individual provider Active NPI

Deshonna Mosley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1700528486
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
883787 Issued in MS
Practice address
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone
(855) 560-4999
Fax
(615) 988-1571
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 883787 MS Primary

Addresses

Primary practice location

129 N Locust Ave
Lawrenceburg, TN 38464-3757

Mailing address

PO Box 681029
Franklin, TN 37068-1029
Phone (855) 560-4999

Other practice location 1

1709 W Quitman St
Iuka, MS 38852-7365
Phone (855) 560-4999

Other practice location 2

2900 Gerstner Memorial Dr
Lake Charles, LA 70601-8162
Phone (855) 560-4999

Other identifiers 1

IdentifierTypeStateIssuer
07306565MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, LA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230126001604 MS Practitioner - Nurse Practitioner 5395116594 Reassigns benefits to 2 organizations
I20230404003056 TN Practitioner - Nurse Practitioner 5395116594 Reassigns benefits to 2 organizations
I20230816001562 LA Practitioner - Nurse Practitioner 5395116594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33581TNMDPharmacist
883787MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jun 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 10, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 10, 2023 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 1, 2023 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients

Locations

2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

2640 Country Club Rd
Lake Charles, LA 70605
Phone (337) 426-0919

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

1709 W Quitman St
Iuka, MS 38852
Phone (662) 443-4122

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1700528486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681029",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681029",
            "telephone_number": "855-560-4999",
            "fax_number": "615-988-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643757",
            "telephone_number": "855-560-4999",
            "fax_number": "615-988-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 W Quitman St",
            "address_purpose": "LOCATION",
            "city": "Iuka",
            "state": "MS",
            "postal_code": "388527365",
            "country_code": "US",
            "telephone_number": "855-560-4999",
            "fax_number": "615-988-1571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Gerstner Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018162",
            "country_code": "US",
            "telephone_number": "855-560-4999",
            "fax_number": "615-988-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "DESHONNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "883787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07306565",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.